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High-Risk Pregnancy & Postpartum Contraception

Contraception; ePub 2016 Apr 15; French, Albanese, et al

Similar rates of planning for Tier 1 contraceptives was common among women at high risk for pregnancy; however, similar rates of subsequent unplanned pregnancy were also observed. This according to a cohort study of 2,048 low-risk and 1,015 high-risk participants which evaluated the effect of high-risk pregnancy status on antepartum contraceptive planning and postpartum use. Researchers found:

• The index pregnancy was more likely to be unintended among low-risk than high-risk women (48.4% vs 42.9%).

• Low-risk and high-risk women showed interest in Tier 1 contraceptives while antepartum (54.4% low risk vs 58.0% high risk), with lower interest at discharge and at the postpartum visit.

• Only 776 women (25.3%) received a Tier 1 method.

• 656 women (21.4%) had a subsequent pregnancy lasting >20 weeks.

• Unintended pregnancy rates did not differ between low- (36.6%) and high-risk (32.4%) women.

Citation: French M, Albanese A, Gossett DR. Postpartum contraceptive choice after high-risk pregnancy: a retrospective cohort analysis. [Published online ahead of print April 15, 2016]. Contraception. doi:http://dx.doi.org/10.1016/j.contraception.2016.04.004.